80252D - Burns

0 aCAMA/ '_DREDGE & FILL N9 80252 A B C
GENERAL PERMIT Previous permit#
)� . iNew Modification Complete Reissue Partial Reissue Date previous permit issued c
As authorized by the State of North Carolina, Department of Environmental Quality p- f 206
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �f-� /
11 ❑Rul attached.
Applicant Name /k l ' ' � I Project Location: County P`-6
Address Y r ,� if SC�-L� to Street Address/State Road/Lot#(s) ,
City a II�' statI ZIP 2'6O(l /Oi g LAM �.. r v
Phone # ( /My) •53 ' 077 imail Subdivision
Authorized Agent /) / �74 "- City /O(�a.-P /41J ZIP ).'y`l r
Affected ❑ \iFEW A ❑ES ❑PTS Phone # ( • ) _ River Basin 14'
❑OEA ❑HHF IH ❑UBA ❑N/A —
AEC(s): III PWS. Adj. Wtr. Body l i�� Ch /Ate /man /unkn)
ORW: yes / no PNA yes Closest Maj.Wtr. Body __ /5/<1P .So' i 1
Type of Project/Activity t 2 -'t2_ CSC G' ,r oA• -I 1:4 . 1, i ;77-
v ( (Scale: (� ' )
Pier(dock)length itt 1,91( / ��
i
Fixed Platform(s) r - 1 l , I } i j
Floating Platform(s 1 �,f I �� I i f T i
Finger pier(s) ) (0 L __.
Groin length 1. iliffit i I
numb[ -1 1 I I
Bulkhead/Riprap length { 1 I
I I
' I
avg distance offshore . ' I !
• • M I
max distance offshore I i
Basin,channel t { ' i f
cubic yards 414` I f + -+f I
Boat ramp
1
Boathouse/Boatlift T._..., ...._._.._....i.._...._._..._...� ...y—......._.:
-+r 1
I
Beach Bulldozing
Other [ 'C- ( �h
_ 6 I I ST*
,bdit€4. ' filte97-e) , , to t ,
Shoreline Length .L-/.-- ifr•MiCisi‘l
SAV: not sure yes no i I -
Moratorium: n/a yes T 1 ' I
Photos: Yes —_r.__..__. w T
•
Waiver Attached: o ---
A building permit may be required by: . Li See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
A, 1 L-,1.t!l r/l/ f ) lk_Agen plicant Printed N Per1itpffic is Printed Name
Signature Please read compliance statement on back of permit"11, Signatu
i 1"/"-• /b ' 2/ 45", M/ 2-1
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret, Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. I 27 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: AGi`1 4 os 3" �r�
Mailing Address: G YOI L�t� arP do L`
(Le"/ L /v C. 2 /2--
Phone Number: ( ( Y- i Jr o Zz Z
Email Address: d.1644 rn!'d q Mo<< . Goa ati
I certify that I have authorized 74l,i eQ /flat► `tee
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replace ,To c.te-
at my property located at Icy t ��•�nc (��v1� .ra:( erGsc..—
in r34•44 e County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
dw r%c tr"
Title
22l -2=20
Date
This certification is valid through 6 / 1 / 2-1, 2.4

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIF(T/BOATHOUSE)
I hereby certify that I own property adjacent to - ✓' )����5 's
(Name of Property Owner)
property located at
0" L"i4�DiZli(/``4 '/Vd,
_� (Lot,Block, Road,etc.) e.';
on l 3�/, �.j v���J in 70/299/4 jC1tW/ �,c9/�L- N.C.
l
(Waterbody) (Town and/or County)
Applicant's phone#: Mailing Address:
He has described to me,as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(15')from my area of riparian access unless
waived by me. (If you wish to waive the setback,you must initial the appropriate blank
below.)
464"--I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) /
i---"friri if/
Mailing Address Signature
-7447 /
City/State/Zip Print or Type Name
7/0/3,2,g— 5"3/
Telephone Number Telephone Number
""-/-i •c---'" arj- g% 042/
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATIIOUSE)
I hereby certify that I own property adjacent to Date3JC,l S 's
(Name of Property Owner)
property located at I O\ B C AO)
(Lot,Block,Road,etc.)
on C. , 14-C ,in \u '"pSPn\ /zcn- L ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: Mailing Address:
He has described to me,as shown below,the development he is proposing at that location, and,I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(15') from my area of riparian access unless
waived by me. (If you wish to waive the setback,you must initial the appropriate blank
below.)
I do not wish to waive
ore I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
•
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
C \r�1uc� 7 kzr
City/State/Zip Print or Type Name
Telephone Number Telephone Number
Signature Date Date

Cheek
r Date Received I Date Deposited Check From(Barn.) Name of Permit Holder Vendor Check number mount Permit Number/Comments Receipt or Refund/Reallocated
Column., 1 Column2 Column3 Column. Columns Columns CONaa/17 Columns Cn/umn9
5/412021 G.E Vonatzski same First Citizens Bank 1021 $ 250.00 major fee.940 Copes Rd SW.Shallone BrCo NO Split BB rct.13110 _
5/5/2021 Sea Dog Marine Construction,LLC Adam and Leigh Greene(Sea Dog) First Bank 1300 $ 250.00 maior fee,107/109 SW 9th St,Oak Island BrCo NO Spld __PA rot.12773 __
__ 5/4/2021 Maritech,LLC Winding River Plantation Bank of Amenca _ —r - 24 8 $ 400.00 GP#80291D _ PA rot 12785 _
__5/4/2021 Town of Oak Island same BB&T _ _83803 $ _200.00 GP#80295D PA rot 12783 __
__5/4/2021. CLTMC,Inc. Lussier and Farmer First Citizens Bank _ 1182i_$ 200.00 GP#802580 PA rct.12758__ __
5/4/2021 JR Huntley Homes same BB&T 4593 $ 400.00 GP#76500D PA rot.12772 _
5/4/2021 Docks and Deck Dudes LLC Heather Bus Fay PNC Bank _ 1056 $ 200.00 GP#80285D KE rc.13434 _
5/4/2021 Docks and Deck Dudes LLC Scott Pollock .PNC Bank 1053.$ 200.00 GP#80203D _ KE rot.12747 _
514/2021 John H Cooling same IBB&T _ 6793 $ _200.00 GP#80235D BH rd.12877 _
5142021 Allied Manna Contractors LLC AJ Burns First Citizens Bank _ 10026 $ 200.00 GP#80252D JD rct.13407 _
5/4/2021 Timothy Powell James Jackson First Bank - . 9185.$ 200.00 GP#80277D .OH rct.12881 _
_ 5/412021 James Miller John Pearce Wells Fargo 1002 $ 200,00 1GP#79950D B8 rct.13112 _
5/4/2021 Davey Resource Group Dustin and Susan Gross United Bank _ 2242 $ _400.00 GP#79956D KE rct.13435
5/42021 1Lanier Family.LLC same South State Bank _ 1250 $ 200.00 GP#80251 D JD rct.13406
5/4/2021 1AMW Docks and Manne John and Krista Cuder BB&T 8201 $ 200.00 GP#799030 BB rct.13113 _
5/42021 Grice Construction Nancy Murdock BB&T 14598 $ 400.00 GP#80209D(check 1 of 2) BB rct 13114
5/4/2021 Grice Construction Nancy Murdock BB&T 14529 $ 200.00 GP#80209D(check 2 of 2) .BB rot,13114 _
5/4/2021 Lorene H Allen same First Citizens Bank 18257 $ 200.00 GP#80276D BH rct.12886
5/42021 Marsh Creek Manne B&M Holdings LLC Southern Bank i 8095 $ 400.00 GP#80299D JD rot.13401
5/4/2021 Holden Docks and Bulkheads •Town of Holden Beach CresCom Bank _ 3624 $ 400.00 GP#79932D PA rct 12768
5/4/2021 Orion Construction Koultontuk BB&T 14605 $ 400 00 GP#79905D BB rct.13116
5/4/2021 Grice Construction .Gameau BB&T 14604 5 20000 GP#79908D BB rct.13117
_5/4/2021 H5 Construction,LLC Highest Point Holdings.LLC BB&T _ 1 2579 $ 200.00 GP#80194D(1 of 2) BB rct.13105
5Construction. —021 HS Const
ruction.LLC Highest Point Holdings.LLC BOOT � 2606 $ 400 00 GP#80194D(2 of 2) BB rct 13105
5/42021 Lighthouse Marne Construction Bob Mott Coastal Bank and Trust t 3739 $ 600 00 GP#801870 JD rot.12399
5/4/2021 Delta Dock and Boalliff Judy Brock First Citizens Bank 9089 $ 400.00 GP#801681) ,JD rct.12400
5/42021 Katrina Turner Hiram Williams Co Trustees PNC Bank 253 $ 200.00 GP#80249D JD rot.13403 _
5/4/2021 Jason Queen same Wells Fargo 186 $ 200 00 GP#80280D BH rct.12887
5/4/2021 __Backwater Manna Terry Williams BB&T 1293 $ 200 00 GP#799490 BB rot.13111 _
5/4/2021 Grice Construction Canco&Bedwell BB&T 14599 $ 400.00 GP#799070 BB rat 13115